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Year : 2018  |  Volume : 7  |  Issue : 4  |  Page : 257-262

EUS-guided portal pressure measurement (with videos)

H.H. Chao Comprehensive Digestive Disease Center, Irvine Medical Center, University of California, Orange, California, USA

Correspondence Address:
Dr. Jason B Samarasena
Division of Gastroenterology and Hepatology, H.H. Chao Comprehensive Digestive Center, Irvine Medical Center, University of California, 101 The City Drive South, Orange, CA 92868
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_35_18

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A growing number of studies have explored EUS-guided vascular catheterization due to the relative proximity of the gastrointestinal tract to the major blood vessels of the mediastinum and abdomen. In particular, EUS-guided access of the portal vein (PV) may be favorable given the relative difficulty of PV access through standard percutaneous routes. Two major diagnostic applications of EUS-guided vascular access include angiography and assessment of intravascular pressure. This review will outline the different devices and techniques employed to obtain angiographic visualization and/or direct pressure measurements of the portal circulation. Ease of access, safety, and important lessons learned from each approach will be highlighted.

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